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HomeMy WebLinkAboutSUBS PERMIT# ISSUE DATE 'TJ, .0 Building & Code Compliance Dh,ision BUILDING PER1111' SUB-CON7'R?%CTOR,AC:RI EAii,,N,r ��otirnv.t� ►►tiq,� have agreed to be (Company Name1ndividual Name)the 9U , Sub-contractor for GLAd I& 0 Tyi(. - (Type of Trade) 0 (Primary Contractor) For the project located at 115-7 0 S i q-;L o�l— (Project Street Address or Propmy Tttx)D:,r) It is understood that. if there is any change of status regarding our pal ticipatioli with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the tiling of a Change of Sub-contractor notice. C \'TK.XC"COR SIGNAI'UR (Qii:i i-licr) --��--� " SUR-CONTRACTOR SIC NATURE(Qualifier) ____ art F_ PRINT NAME u— PRiNT NAt E COUNTY CERTIFICATION NUNIi IER COUNIN CERTIFICATION NUS BER State of Florida,Counq•orGLL U- _11— titufc of Florida.Cnnnlr oF. _� r The ffoomping instrument was signed before me this la day of The foregoing instrument was signed before me this J dap of Who is personally --"-kr has produced a who is p 'sonally know n '�_or has produced a as identification. as identiticution. STAMP ti'1':1 AI P signature of Notary 1'ultfic Signature of Not,ry uhiiC 0 �—-� 41(q P t Print Name orNota -Puhlic Print Name,of Votary Public — - pS� Any Kelly Finley otP� Ass Kelly Finley r °n Notary Public ° Notary Public it«i ed I I I b 2016 a -State of Florida ,State of Florida i Comm#HHOS2506 '?Comm#HH082506 WS�NCE lei Expires 1/19/2025 W s/N E 18�� Expires 1/19/2025 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • BUILDING PFRNirr SUB-CONTRACTOR AGRI,ENIENT have agreed to be (Company Namc,lndividual Name) the . _fy\,f tkcat ccJ i�C'i _ _ Sub-contractor for _&,may (Type of Tradc) (Primary Contractor) For the project located at C ) 05 Z�YV%e_✓s ortop-7—vo�- (Project treet Address or Property Tax to t ) It is understood that, if there is any change ' status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub-contractor notice. AUXCRI GCI SLB-CONTRACTOR Sli RF,(Quaiirt r) PRINT NAMF. - - - -- - PRINT N VVI- -0'3U --- - -­ - -- COUNTY(t ER IF�TION Nl NIBFR C'OL N'Tl CERTIFICATION NU IHFR State of Florida,Count}of I.I IC State of Floridu,County of Ste_-.— /jam The foregoing instrument was signed before we this I�- day of The foregoing instrument was signed before me this'i�day or 201 ,b� A � 2021,by _1' Ili who is personally known ✓or hus produced a __. _ , who s personally known ar bas produced r as identification, as ide tirir lint. r �o T_ S -kMP S 9 _ - - - - - - --- m o ,. Signature of N i ry Public Ci inure of Nolury P t tt a V— -f Cn -16 1 !O 0 i'rint Name of N nary Public Print Name of Notan Public ,o�B•NA ��`� a T b �--I Ciao 3 0 ONM x N -rl O _ C w- Revised I I W 20 6 _p v� 0 N CL N n n N p Ln Q1 PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • BUILDING PERMIT SUB-CONTRACTOR AGREEMENT have agreed to be (Company Name/Individual Name) the v% Sub-contractor for &Ycl� Q UfloLf"'J Zvi (Type of Trade)---j (Primary Contractor) For the project located at S'1 y S ,,, I (Project Street Address or Property Tax ID ) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub-contractor notice. CO RACTOR SIGNATURE(Qualifier) SUB ONTRACTOR SIGN URE(Qualifier) PRINT NAME PRINT NAME 1UiR1`-� Ijog1`( COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER State of Florida,County of&k"ap State of Florida,County of_�*l✓µcae, The foregoing instrument was signed before me this 1O day of The foregoing instrument was signed before me this day of 201j_,by �o�. �•Cmrc� ,2021 ,by ­7SC�.,. A.Cvoz.0-- who is personally known�16 or has produced a who is personally known,'---_or has produced a as identificpat'ion. as identification. LU cA STAMP STAMP signature_ofVNutary Publ Signature of Not. y Publi n Print Name of iotary P ih is Print Name of N tary Public of A Kelly Finley Kelly Finley o Notary Public iota ar Nary public a oState of Florida -State of Florida CW z" r Comm#HH082506 O' L =Comm#HH092506 Revised 11/16/2016 •s�NCE 1�1� Expires 1/19/2025 ys/N p 91� Expires 1/19/2025